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Individual

SIDDHART KUMAR MEHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-6500
Mailing address
101 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1000
(973) 322-6500

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
25MA09558700
NJ
2084N0400X
Neurology Physician
Primary
25MA09558700
NJ
2084V0102X
Vascular Neurology Physician
25MA09558700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0461121
NJ
Enumeration date
05/08/2015
Last updated
05/04/2025
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